{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:04Z","timestamp":1753876204648,"version":"3.41.2"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,9,19]],"date-time":"2024-09-19T00:00:00Z","timestamp":1726704000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,28]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Patients with benign upper gastrointestinal (UGI) conditions such as achalasia, gastroparesis and refractory gastroesophageal reflux disease often suffer from debilitating symptoms. These conditions can be complex and challenging to diagnose and treat, making them well suited for discussion within a multidisciplinary meeting (MDM). There is, however, a paucity of data describing the value of a benign UGI MDM. The aim of this study was to assess the impact of our unit\u2019s benign UGI MDM service and its outcomes. This was a retrospective analysis of prospectively collected data for all consecutive patients reviewed in the monthly benign UGI MDM between July 2021 and February 2024. The primary outcome was the incidence that MDM review changed clinical treatment. Secondary outcomes included change in diagnosis, additional investigations and referrals to subspecialists.<\/jats:p>\n               <jats:p>A total of 104 patients met inclusion criteria. A total of 73 (70.2%) patients had a change in their overall management following MDM review; 25 (24.0%), 31 (29.8%) and 48 (46.2%) patients had changes in pharmacological, endoscopic and surgical interventions respectively. Most changes in pharmacological and endoscopic intervention involved treatment escalation, whereas most changes in surgical intervention involved treatment de-escalation. A total of 84 (80.8%) patients had a documented diagnosis post-MDM with 44 (42.3%) having a change in their pre-MDM diagnosis. 50 (48.1%) patients had additional investigation\/s requested and 49 (47.1%) had additional referral pathway\/s recommended.<\/jats:p>\n               <jats:p>Over two thirds of patients had at least one aspect of their management plan changed following MDM review. These changes occurred across pharmacological, endoscopic, and surgical interventions.<\/jats:p>","DOI":"10.1093\/dote\/doae074","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T06:18:42Z","timestamp":1726813122000},"source":"Crossref","is-referenced-by-count":0,"title":["The clinical utility of multidisciplinary team meetings for patients with complex benign upper gastrointestinal conditions"],"prefix":"10.1093","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-5094","authenticated-orcid":false,"given":"Matthew G R","family":"Allaway","sequence":"first","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Western Sydney University School of Medicine, Blacktown & Mount Druitt Medical School , Blacktown, New South Wales,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuchen","family":"Luo","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hou Kiat","family":"Lim","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiron","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krinal","family":"Mori","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Craven","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Keong","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chek Heng","family":"Tog","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Sweeney","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darren","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Austin Health , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Austin Health , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Austin Health , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Aly","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katheryn","family":"Hall","sequence":"additional","affiliation":[{"name":"General and Gastrointestinal Surgery Research and Trials Unit , Department of Surgery, , Heidelberg, Victoria,","place":["Australia"]},{"name":"University of Melbourne Austin Precinct , Department of Surgery, , Heidelberg, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8936-4123","authenticated-orcid":false,"given":"David S","family":"Liu","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgery Unit , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Austin Health , Division of Surgery, Anaesthesia and Procedural Medicine, , Heidelberg, Victoria,","place":["Australia"]},{"name":"General and Gastrointestinal Surgery Research and Trials Unit , Department of Surgery, , Heidelberg, Victoria,","place":["Australia"]},{"name":"University of Melbourne Austin Precinct , Department of Surgery, , Heidelberg, Victoria,","place":["Australia"]},{"name":"Division of Cancer Surgery, Peter MacCallum Cancer Centre , Parkville, Victoria,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,9,19]]},"reference":[{"key":"2024112912520386800_ref1","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1038\/nrgastro.2015.49","article-title":"Dysphagia: current reality and scope of the problem","volume":"12","author":"Clave","year":"2015","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"2024112912520386800_ref2","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1007\/s11605-014-2556-7","article-title":"Controversies in management of achalasia","volume":"18","author":"Patti","year":"2014","journal-title":"J Gastrointest Surg"},{"key":"2024112912520386800_ref3","first-page":"515","article-title":"Management of gastroparesis","volume":"11","author":"Ting Zheng","year":"2021","journal-title":"Gastroenterol Hepatol"},{"key":"2024112912520386800_ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.765061","article-title":"Refractory gastroesophageal reflux disease: A management update","volume":"8","author":"Rettura","year":"2021","journal-title":"Front Med"},{"key":"2024112912520386800_ref5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1053\/j.gastro.2010.05.016","article-title":"Persistent reflux symptoms in the proton pump inhibitor era: the changing face of gastroesophageal reflux disease","volume":"139","author":"D E S","year":"2010","journal-title":"Gastroenterology"},{"key":"2024112912520386800_ref6","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1002\/ueg2.12289","article-title":"Worldwide prevalence and burden of gastroparesis-like symptoms as defined by the United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on gastroparesis","volume":"10","author":"Huang","year":"2022","journal-title":"United Eur Gastroenterol J"},{"key":"2024112912520386800_ref7","doi-asserted-by":"crossref","first-page":"49","DOI":"10.2147\/JMDH.S117945","article-title":"Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature","volume":"11","author":"Soukup","year":"2018","journal-title":"J Multidiscip Healthc"},{"key":"2024112912520386800_ref8","doi-asserted-by":"crossref","first-page":"1293","DOI":"10.1093\/annonc\/mdr453","article-title":"Multidisciplinary team working across different tumour types: analysis of a national survey","volume":"23","author":"BW","year":"2012","journal-title":"Ann Oncol"},{"key":"2024112912520386800_ref9","doi-asserted-by":"crossref","first-page":"2430","DOI":"10.1245\/s10434-016-5178-3","article-title":"Is there a benefit of multidisciplinary cancer team meetings for patients with gastrointestinal malignancies?","volume":"23","author":"Basta","year":"2016","journal-title":"Ann Surg Oncol"},{"key":"2024112912520386800_ref10","doi-asserted-by":"crossref","first-page":"2669","DOI":"10.1245\/s10434-017-5833-3","article-title":"The value of multidisciplinary team meetings for patients with gastrointestinal malignancies: a systematic review","volume":"24","author":"Yara","year":"2017","journal-title":"Ann Surg Oncol"},{"key":"2024112912520386800_ref11","doi-asserted-by":"crossref","first-page":"60","DOI":"10.4251\/wjgo.v5.i3.60","article-title":"Does in-house availability of multidisciplinary teams increase survival in upper gastrointestinal-cancer? - PubMed","volume":"5","author":"Christian Kersten","journal-title":"World J Gastrointestin Oncol"},{"key":"2024112912520386800_ref12","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.amsu.2016.10.009","article-title":"Management of achalasia in the UK, do we need new guidelines?","volume":"12","author":"Jihene El Kafsi","year":"2016","journal-title":"Ann Med Surg"},{"key":"2024112912520386800_ref13","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1136\/flgastro-2018-101075","article-title":"Guideline review: management of benign oesophageal strictures","volume":"10","author":"Burr","year":"2019","journal-title":"Front Gastroenterol"},{"key":"2024112912520386800_ref14","doi-asserted-by":"crossref","first-page":"3232","DOI":"10.1007\/s11695-019-03975-5","article-title":"How effective is the multidisciplinary team approach in bariatric surgery?","volume":"29","author":"Naomi Laura Bullen","year":"2019","journal-title":"Obes Surg"},{"key":"2024112912520386800_ref15","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/0021-9681(87)90171-8","article-title":"A new method of classifying prognostic comorbidity in longitudinal studies: development and validation","volume":"40","author":"Charlson","year":"1987","journal-title":"J Chronic Dis"},{"key":"2024112912520386800_ref16"},{"year":"2023","key":"2024112912520386800_ref17"},{"key":"2024112912520386800_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8","article-title":"Impact of a multidisciplinary tumour board meeting for upper-GI malignancies on clinical decision making: a prospective cohort study","volume":"18","author":"Pieter, van Hagen","year":"2013","journal-title":"Int J Clin Oncol"},{"key":"2024112912520386800_ref19","article-title":"Adherence to multidisciplinary tumor board recommendations in patients with curable esophageal and gastric cancers","volume":"54","author":"Soon","year":"2022","journal-title":"J Gastrointestin Cancer"},{"key":"2024112912520386800_ref20","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1093\/annonc\/mdj102","article-title":"Analysis of clinical decision-making in multi-disciplinary cancer teams","volume":"17","author":"Blazeby","year":"2006","journal-title":"Ann Oncol"},{"key":"2024112912520386800_ref21","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1097\/SLA.0000000000004639","article-title":"Outcomes of laparoscopic redo fundoplication in patients with failed antireflux surgery: a systematic review and meta-analysis","volume":"274","author":"Francisco Schlottmann","year":"2021","journal-title":"Ann Surg"},{"key":"2024112912520386800_ref22","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/doab013","article-title":"Exploring the concept of centralization of surgery for benign esophageal diseases: a Delphi based consensus from the European Society for Diseases of the Esophagus","volume":"34","author":"Lugaresi","year":"2021","journal-title":"Dis Esophagus"},{"key":"2024112912520386800_ref23","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1136\/flgastro-2016-100717","article-title":"The role of multidisciplinary meetings for benign pancreatobiliary diseases: a tertiary centre experience","volume":"8","author":"Bekkali","year":"2017","journal-title":"Front Gastroenterol"},{"key":"2024112912520386800_ref24","doi-asserted-by":"crossref","DOI":"10.1016\/j.jsurg.2019.02.001","article-title":"Educational value of surgical multidisciplinary team meetings for learning non-technical skills - A pilot survey of trainees from two UK deaneries","volume":"76","author":"Trivedi","year":"2019","journal-title":"J Surg Educ"}],"container-title":["Diseases of the Esophagus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/37\/12\/doae074\/60885106\/doae074.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/dote\/article-pdf\/37\/12\/doae074\/60885106\/doae074.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T12:52:19Z","timestamp":1732884739000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/dote\/article\/doi\/10.1093\/dote\/doae074\/7762122"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,19]]},"references-count":24,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,9,19]]},"published-print":{"date-parts":[[2024,11,28]]}},"URL":"https:\/\/doi.org\/10.1093\/dote\/doae074","relation":{},"ISSN":["1120-8694","1442-2050"],"issn-type":[{"type":"print","value":"1120-8694"},{"type":"electronic","value":"1442-2050"}],"subject":[],"published-other":{"date-parts":[[2024,12]]},"published":{"date-parts":[[2024,9,19]]},"article-number":"doae074"}}